PREVALENCE OF BURNOUT AND FATIGUE AMONG HEALTHCARE WORKERS OF A SECONDARY HEALTHCARE INSTITUTION IN BELGRADE DURING THE SARS-COV-2 PANDEMIC
Abstract
Burnout has been recognized increasingly globally as a major concern, affecting the physical and mental well-being of Healthcare Workers (HCWs). A cross-sectional study was conducted among the healthcare workers in Special Hospital for Rehabilitation and Orthopedic Prosthetics using the following questionnaires: Maslach Burnout Inventory–Human Services Survey (MBI–HSS) for measuring the three aspects of burnout syndrome: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA); Fatigue Severity Scale (FSS) for assessing the presence and degree of fatigue, and sociodemographic characteristics of respondents collected through a general questionnaire. Only fully completed questionnaires, 65 of the total of 79, were included in the study. The majority of participants were females (73.8%), married (61.5%), university degree holders (52.3%), homeowners (66.2%), and those earning above the minimum (81.5%). One third of study participants experienced the death of a close person due to coronavirus disease 2019 (COVID-19). High level of EE was observed in 41.5% of employees. Moderate to high level of DP was recorded in 36.9% of participants, and 40% exhibited a low level of PA. Emotional exhaustion was positively correlated with the FSS. Depersonalization showed a statistically significant positive correlation with the FSS. The length of vacation as the demographic characteristic was also positively correlated with the FSS. Two factors were found to be associated with high levels of EE among HCWs, and those were higher fatigue and lower monthly earnings.
References
Abdulmajeed A. Alkhamees, Hatem Assiri, Hatim Yousef Alharabi, Abdulah Nasser & Mohammad A. Alkhames. Burnout and depression among psychiatry residents during COVID-19 pandemic. Hum Resour Health 2021; 19(1):46. [CrossRef] [PubMed]
Andrea Naldi, Fabrizio Vallelonga, Alessandra Di Liberto, Roberto Cavallo, Monica Agnesone, Marco Gonella et al. COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy. BJPsych Open 2021; 7(1):e27. [CrossRef] [PubMed]
Antonio Lasalvila, Francesco Amaddeo, Stefano Porru, Angela Carta, Stefano Tardivo, Chiara Bovo et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open 2021;11:e04517. [CrossRef] [PubMed]
Cabello IR, Echavez JFM, Serrano-Ripoll MJ, Fraile-Navarro D, de Roque MAF, Moreno GP, et al. Impact of viral epidemic outbreaks on mental health of health-care workers: a rapid systematic review. J Affect Disord 2020;277:347–57. [CrossRef] [PubMed]
Evans JD. Straightforward Statistics for the Behavioral Sciences. Pacific Grove, CA, USA: Brooks/Cole Publishing, 1996. https://worldveg.tind.io/record/57723
Hannah Dobson, Charles B Malpas, Aidan JC Burrell, Caroline Gurvich, Leo Chen, Jayashri Kulkarni et al. Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic. Australas Psychiatry 2021; 29(1):26-30. [CrossRef] [PubMed]
Irem Akova, Esma Kilic, Mehmet Emin Ozdemir. Prevalence of Burnout, Depression, Anxiety, Stress, and Hopelessness Among Healthcare Workers in COVID-19 Pandemic in Turkey. Inquiry 2022; 59: 469580221079684. [CrossRef] [PubMed]
Jovanović N, Podlesek A, Volpe U, Barrett E, Ferrari S, Rojnic Kuzman M, et al. Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. Eur Psychiatry 2016;32:34–41. [CrossRef] [PubMed]
Koh D, Lim M-K, Chia S-E. SARS: health care work can be hazardous to health. Occup Med. 2003;53(4):241-3. [CrossRef] [PubMed]
L Abdulla, DM Al-Quhtani, MG Al-Kuwari. Prevalence and determinants of burnout syndrome among primary healthcare physicians in Qatar. South African Family Practice 2011; 53: 380-3. [CrossRef]
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3(3):1–12. [CrossRef] [PubMed]
Li L, Wan C, Ding R, Liu Y, Chen J, Wu Z, Liang C, He Z, Li C. Mental distress among Liberian medical staff working at the China Ebola treatment unit: a cross sectional study. Health Qual Life Outcomes 2015;13:156. [CrossRef] [PubMed]
McAlonan GM, Lee A, Cheung V, Cheung C, Tsang K, Sham P, Chua S, Wong J. Immediate and sustained psychological impact of an emerging infectious disease outbreakon health careworkers. Can J Psychiatr 2007;52(4):241–7. [CrossRef] [PubMed]
Nicola Magnavita, Francesco Chirico, Sergio Garbarino, Nicola Luigi Bragazzi,Emiliano Santacroce and Salvatore Zaffina. SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among HealthcareWorkers. An Umbrella Systematic Review. Int J Environ Res Public Health 2021; 18(8):4361. [CrossRef] [PubMed]
Ozge Ayadin Guclu, MD, Mehmet Karadag, MD, Muhamed Emin Akkoyuniu, MD, Turan Acican, MD, Bunyamin Sertogullarindan, MD, Gokhan Kiribas, MD et al. Association between burnout, anxiety and insomnia in healthcare workers: a cross-sectional study. Psychol Health Med 2022; 27(5):1117-30. [CrossRef] [PubMed]
Portero S, Cebrino J, Herruzo J, Vaquero M. Factors related to the probability of suffering mental health problems in emergency care professionals. Rev,Lat Am Enferm 2019;27(e3144):3079–144. [CrossRef] [PubMed]
Ruchira W Khasne, Bhagyashree S Dhakulkar, Hitendra C Mahajan, Atul P Kulkarni. Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey. Indian J Crit Care Med 2020; 24(8): 664–71. [CrossRef] [PubMed]
Zbigniew Izdebski, Alicja Kozakiewicz, Maciej Białorudzki, Joanna Dec-Pietrowska and Joanna Mazur. Occupational Burnout in HealthcareWorkers, Stress and Other Symptoms of Work Overload during the COVID-19 Pandemic in Poland. Int J Environ Res Public Health 2023; 20(3):2428. [CrossRef] [PubMed]
Zhang S, Wang J, Xie F, Yin D, Shi Y, Zhang M, Yin H, Li F, Yang L, Cao D, Sun T. A cross-sectional study of job burnout, psychological attachment, and the career calling of Chinese doctors. BMC Health Serv Res 2020;20(193):2–11. [CrossRef]
